HomeMy WebLinkAbout1194 BOISE WAY - Building Permits '+
PROJECTowAO DRESS:' ,•. i UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 055534
oJECTADDBits a:itit- 1194 BOISE WY •3e..,•,,.—,12,,,,.
ADDRESS: PURYEAR, E TAYLOR ';'`-;:;;. ? :
PUR EBARB OISB DIANN , ,r1., PERMIT NO; P 055534 PLAN CHECK NO: N GOVT: N SUPP: N
• COSTA MESA,CA 92626 CONSTRUCTION TYPE; V—N PERMIT TYPE: PLU PURPOSES OTH •
ARCH/ENGINEER: 850-1168 REG.NO.: t
ADDRESS: UNIT: JOB DESCRIPTION : CHANGE OUT DISHWASHER • SQ FT:
PERMITTEE: CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 / :
" ADDRESS: NOCK -PLUMBING ( 714) 895-1246 .
11610 SEABOARD CIR COMMENTS. SMOKE DETECTOR REQUIRED IN THE HOME •
�E
STANTON CA 90680 ******** ****************** ******************* ESE***********************Se******
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am lice ed under provisions Chapter 9(commencing .ection Z O N I N G REQUIREMENTSI
7000)of Division 3 of the Business and Professions Code,and my lir is in full force a ffect.
SETBACKS
CITY LC.: 05038� QSTATE LIC.:51197G1. LA�` C <j,
Date. �._ Signature: — — MAIN BUILDING
ACCESSORY BUILDING
WORKERS'CO � DECLARATION: I hereby a m
that I have a certificate of consent oself-insure or a certificate of workers' FRNT:e? FT IN REAR: FT IN FRNT: FT IN REAR: FT IN •
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT%: FT : IN RGHT: FT IN LEFT: FT IN RGHT: 'FT IN
POLICY ND.: 116799290 EXP.DATE: 03/01 /92
COMPANY: STATE �7 PARKING REQ• PROV: PARCEL; 14169142 ZNE: • REF NO: ' •
`X
❑ Certified copy is hereby f rnished. Certified copy is filed wit city Building Oivlsl PLANNING NOTES>
/yy � %1 • >
Date: //9/ ' APPlican •`' LifA4[.A✓1 ********************************************1f,**********************************
XEMPTION FROM�WORKER9 COMPENSATION DECLARATI N: (This section need not be completed if I ermit is for one hundred($1O)or less), DEVELOPMENT S E R V I C • E S.' REQUIREMENTS
certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become
subject to the Workers'Compensation Laws of California_ ZONING APPROVED BY •
•
` , DATE:
Date: Signature:
NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : , DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY., — t+ DATE: /--1° —LC;)2----
which this permit is issued(Section 3097,Civ.C). ***.M.*.*****.****.{t*****.**'******iiiFFF****** ****iF **********************************
LENDER: . ******************************************** **********************************
ADDRESS: LEGALIZATION:N F E E SUMMARY . STRUCTURAL SEGMENT:N
•
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'Slate License Law for the following reason.
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct.alter,improve,demolish,or PERMIT2 . 00
reoair.any structure,prior toffs issuance,also requires the applicant for such permit t0 file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 2 5 t SMIP/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). - ISSUE FEE 3. 00
•
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 2 . 00 , 3 . 00 0. 00 5.0 0 5. 00 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees.provided that such improvements are not intended or offered for sale. If however the building or
•improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED• 5.0 0 OVER/SHORT• 00 •
forme purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK -
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 5. 00
and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon
and who contracts for such protects with acontractor(s)license pursuant to she Contractors'State License Law),lam aware. *****,****µ**,*,****,****,*******,*,***,X,******,***,*,K***********************************
that prowl of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section- • B.&P.C. INDIVIDUAL F E E BREAKDOWN
tor this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: '
I do hereby certify That I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and PLU 1 DISHWASHER 2 .00 2 , 00
25534 and that I or any luture building occupant will/will not(circle one)need to comply with said stale codes and the requirements for a END OF FEES
permit for construction or modification from the Air Duality Management District.Residential constructibn applications are exempt from
(nese provisions. ,
•
Date. Applicant: •
•
I hereby certify that I have read this application and slate that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to bu ding construction and hereby autho�y'presentalives of thi city to enter upon the a entioned .
property he inspection pur ses /
Odle /9 Signature: i. i I ` h til c,Q 766—Orrnti 7.....'i;
Driver's License or Social Security -1414 rPr:: C'.V'tUr;'2 1121!'- Cc.1
1641.46 White—Building:Green—Code Enforcement,Canary—Applicant Pink—Revenue:Goldenrod—Assessor —
J,CONSTRUCTION AND PLANNING . POOL & SI- '
• APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Servi!�or Pole, CU .• 52. Pool & Equipment Location
.2. Soil Pipe•Undrgrnd. c • -• , :d 53. Steel Reinforcement
r. S_
f 1 l Condfa', , Ility-lr�ndrgfnd°'tr1 54. Forms •
acSgEeciwcal Conduit:S.tndrigrnd. r S 55. Electrical Bonding - •
.�<<rr ,
c55•§Z eW-Itrginforceieijltt 56. Rough Plumbing & Pressure Test •
:v�!i.6fef 5pd(ical UFEnd. - iJ57. APPROVAL TO COVER-GUNITE s;
7t16'ootings S''L co - •rt 58. Electrical Conduit-Undrgrnd. . .
>8•.,, oundation 59. Gas Pipe, Undrgrnd.,Test �;
:~Water Pipe-Undrgrrid. 60. Backwash Lines, P-Trap, 0 Undrgrnd. h
S
10. Structural Floor System c _ 61. APPROVAL TO DECK •
11. Property Sewer Line-& How Conngction 62. Backwash &'Receptor-Final
• to 0412. SeweE Cap 4
Cal 1....‘ 63. Heater & Vent-Final -
13. Roof Drains to �t
^ m 64. Plumbing System - Final
14. Rough Plumbin gl 65. Electrical-Final
•
15. Rough ElectricitConduit - . 66. Solar System-Final
16. Rough Electric'Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING .
18. Rough Electrica-T Bar,Ceiling 69. POOL/SPA SYSTEMS FINAL
to
19.•Rough Heating & Air Conditioning - • FIRE DEPT. REQUIREMENT • •
(•. J . - -.' ... . , •^C. r • r- Dt-- LC 3t-
20. Roush Factory Fireplace I tctn <L+_. *. 0 „ C,.k * rAPPROI1C
VAt3 �
UXEermit # t >. `-r
rC tr -t ��C-t I 'Gil- tr<L * -•S I--I X* * c< 4:N I-n= •> :t r^
21. uc-U In�tr 6tuf� r c_,F.. ;'S :t •t >-,* I. •.t T S^ .t. Cr, x in
1 , ,.r c-IS x s 7 ti* * •- 0. URdergrfi.i d-Hyc}:o :.
r- 5.. i g, - .. s. . . J ..
22. Ducts, Vnhtitating,* C3-.F., •r. „r S ¢i :: ,r 1. Producttr rig D'3As ❑Oil
23.QastP1pe ou' , &"f°est I * I^ '; ` E"t2, Under n 1 I ~ .* `�'
r, .f
cu,.;.,- .; to 0. Lc �_.*- * ti griou9d1 FIuR7 .r 1-,
Ln V:a t t ' l Ti,. ,Y* %V' -IV J ..5"24...Roct Framing• �- I E-•-- ••E- -i. :-., J a' ** :- 93.r.rUndergrnct'Storaye'Tank EGas ❑O4},
to > it •y i: > •- I-, 1 i-i *
25. Rocf'Shithin �'a f: 1-i f-, tr; in t] 0.1*: *` r.it-. :k
Z r g I, r. ;-t v .I a r. -> p;* a 574., verhead Hydro 0 r
26.ri4-Bary Ceiling (Strt Lural) &;I •CLP9coat v _ s v 1�+. :x 75.'�ry Chemical '7 :.:r-1 b G
27. Frame an1j Flashitrrp to F C 'l.5.: tv,x * 76. Dry Stand pe ,! ;-': •S 'n cal •
;28.-1Latgi i �� itna a• .. -'Y .W z •LI- • .* ._ ce •r,
sg$, Siding: ci .-i<rt n vy • * 77,r;FIXEDS1FS�ENl 3'N74La w
j r.•. . ..I .. ,. -' ,"_ t- ' µ:= -e. , .. rJ
t29. InsulatioA �� 0 } " " > to t i 78; IRE PREV. FI "'
��l� * :> r
tail Drywall Nailing rn* * t •cA ltlEALTYit9 EPT>REQUIR EME NT
x'31. Plaster B7bwn-Co�tY , Intr t � , W t,79.`FfNALt PDaCTIOCV C o-
52..ElectricarPowgr er,Final x s; ( • h, * t180.tTIFI
OOD CEATE IS$l D
,r :r: '7 :'' t'-L I :
>33. inaYEltri 1-4r h Cr * 131
v * (x r .tn * 0 to
{34.cif,ina�H :kingcf& FoTtditioP igii * 4 S :� i W S v
35.tE.ina1•G• a91PiOE-Ta�tt .n _ r ;r a c. fn' :i: •~- cp
�J rt. .. rnx r'1 .. :i: 1-4 i P- a C 2'0 Cr, :. Ir .
n36. bio or Canopy _ ` i 1= t III - -CI :f to
py ovt t ,r.� �. I •x :sz no *: tr
:5 :[ I L :rc • .
1•-7.tFinallFactory Firigilaise' ' Sr r tri I1. : z ii * -In
WI:..F T. 1 HPa rt Y 4.x X g N
r38. Final.Plumbin .r W. I •• •• rc 1 ss ::„.1, w; .0 t:
r 9 :k t,J I �� �(7'k ;.b .d 'K rD
a. III• I
:39. Watec Service-Final; 5 i o•1 t I k a - , to x a'
40. Gas Service-Final "` S r I I ' ' '>3 m
41. Solar Domestic-Final ;S -K • * c.,6 ' :Z c:*
(
'"42.•%ackflow PreventerxE' cc *_ 0 I p: >. r-, n...- :r.
* r 1. I , I+ * iC >r.- * t7 I-i
cJ ry -Jr-.eJrn-, x . . .•t.,. . -
43. Backflow Irrigation.$: tc V.c i x * tcf-- t-C �,
C
4 .. * 1.17 :c:. Cci *: C.
N ti
t C o
i44. Landscape Irdgatioti SystemAtCt: * in . t- -.t. x: u� ;U :U ccc *: . 0
5.c$ound Attenliationt 1-,ici- Cr t Z E-• F F*: :r :', r-+Cen C^.r IXC :1:
r . s t In in !n
r .. .. :/ a r- o- C' I....L.>. *
^ ^ .S :Y n7 .- .. - a 1' I7 i I-10 ••H :Y
6.�Handican Regulations ;1 y. At h tK Ig S- D0 ' S :r
47.:FIN�. LSTRUCTURE & BUf1DING 'i i e .r � 01C.' b .r
A (v n s R
48•.sFINALPLANNING* i t an n cu i Ir + - In •S * 0
•y39.1`-_Electiic Release to tdison r• y z li; 'v - ,.
a r h sonto Southern California Gas Co ' i jp. 5 o n 7 C
`7.51. CERTIFICATE OF CCUP NCY' •` ` •- s
71 tra no j 5
?: .F o
No. Date
-
•
_ 0.ECT ADDRESS: 23 UNIT:
NEfl'S NAME: 1194 BOISE WY CITY OF COSTA MESA - BUILDING PERMIT PERM NO; P 069037
te
ADDRESS: PURYEAR, E TAYLOR FLOOD ; X 46
PURYEAR B DIANN PERMIT NO; P 069037 PLAN CHECK NO: N GOVT; N SUPP : N
1194 BOISE
COSTA MESA,CA 92626 CONSTRUCTION TYPE: PERMIT TYPE : PLU .
PURPOSE : 0TH
ARCH/ENGINEER: REG.NO.:
ADDRESS: UNIT: JOB DESCRIPTION : DISHWASHER C/O SQ FT;
CLAIM VALUE: CALC-VALUE: GROUP OCC ; R-1 /
PERMITTEE: PACIFIC COAST APPLIANCE ( 310 ) 324-8476
onus: 139 W VICTORIA ST COMMENTS; ONLY FOR THE DISHWASHER C/O
LICENSED CONTRACTOGARDER UNAIhereby affirm thatlam licensed underCAiprovsio99s0f2h4apt0er9(oommencing with Section *******************************************************************************
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect Z ON ING R EQUIREMENTS
CITY LIC.: STATE LIC.: CIASS1/4 S E T B A C K S
c0�03gi 36269�", / C10fE�yP• 9 /95 •
/Dater=�C/A/6� hherebye:_on ®, consent
r �c -. MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: thereby alfirmthat l have acendird(e of consent el-insure oracenificate of workers' FRNT; FT IN REAR : FT IN FRNT : FT IN REAR; FT IN
Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). LEFT; FT IN RGHT ; FT IN LEFT; FT IN RGHT : FT IN
POLICY NO.: NWC26825303 EXP.DATE: 08 /01 /95
COMPANY: GOLDEN EAGLE PARKING REQ: PROV: PARCEL: 14169142 ZNE: REF NO:
❑/Certified copy is hereby furnished. L';Certified cop filed with the city Bui ng Oi '-ion. PLANNING NOTES>
dan�-I/- � 9�- O{I D > / ' •
1e / r / Applicant: ` �-1 d'^�- *********************9E'rtfElEiEiEiEifiEiEiEit#lE1EiEiFiEiEdEtEif3t-***.#ifffif9E3E1Fif*****iF******-9E****1EiEiE3[-iE**
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section nee otbe if r-edifthe permit is for one hundred l5100)orless). ' DEVELOPMENT SERVICES. REQUIREMENTS
I certify that in the performance of the work for which this permit is issued.I all no 4�r joy any person in any manner so as to become ..
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY
Date: Signature: •
DATE:
NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING AP PROVED BY i =' DATE;
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. '
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for ,,,-,7 a
which this permit is issued(Section 3097.Civ. CI. APPLICATION ISSUED BY; ... DATE; :(
**********************************i- ** , *********************4*- -*, , * ,. 1-
LENDER:
ADDRESS: **********************************************************************-V eE**Y *iF*
LEGALIZATION :N F E E --S .0 A M,,A R Y STRUCTURAL JEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or B LDG PMT PLUMBING ELECTRIC- MECHANIC FIRE SM I P/R E$ GRADING
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is Licensed PERMIT 7 , 00
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 25%, SM I P/NON-RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).
ISSUE FEE 20 , 00
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK . ‘' TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 7 . 00 2 0 • 0 0 0•, 0 0 27 , 00 27 . 00 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees.provided that such improvements are not intended or offered for sale. It however the building or
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED': - 27 . 00 OVER/SHORT • . 00
for the purpose olsale). BLDG PMT PLUMBING ELECTRIC MECHANIC • FIRE SMIP/TOT GRADING' PLAN-CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 27 , 00
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law). I am aware ******,*************************************************************************
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under section: B.S P.C. IND I V IDU AL . F- E E - BREAKDOWN
for this reason: TYPETY DESCRIPTIO S C R I P T I O N
Q UNIT COST TOTAL COST
Date: Owner: _
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and PLU 1 DISHWASHER • — 7 , 00 7 , 0 0
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END:-O F FEES
permit for construction or modification from the Air Ouality Management District.Residential construction applications are exempt from
these provisions. f_
I her Applicant:dta •
-
herebyes certify that l wse read this uildingtion sod tione that me above irferrepres nt fivecorrect. isagree to en er u onwith all city- ned _ (,•
//J
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for inspection purposes. / o
Date: Z �I�1-/ signature:G.�i//7/lti..� .(�/' e` 01 00168613-601(73613 TOT 27
Driver's License or Social Security a: Q ,_;� DATE! 07!,x,9/96 /,GG
I TIMED 10:73
`641'46 White—Budding;Green—Code Enforcement;Canary—Applicant;Pink—Revenue:Goldenrod—Assessor • •
l :./7
CONSTRUCTION AND PLANNING POOL & SPA
�T APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector I
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd, 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation
59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd.
10. Structural Floor System 61. APPROVAL TODECKj
11. Property Sewer Line & House Connection �.� 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
•
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit . 1 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19, Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace - APPROVALS Permit# •
21. Ducts, in Structure - 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0O
23. Gas Pipe-Rough & Test • 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑Oil'
25. Roof Sheathing - 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing - - • HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electricr Notes:
34. Final Heating& Air Conditioning /` N-
a-asa ,� z i' r
35. Final Gas Pipe-Test t `I
36. Hood or Canopy \ e jJ�4„ r J '
37. Final Factory Fireplace - , • � �JJ(-
38. Final Plumbing :5?_1
,957 -_--�-�
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System - ,
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING 1
48. FINAL PLANNING `
49. Electric Release to Edison �1
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
Y6=-- . ? ..?Asf ' r. YYaa�� ,. °. ,F. i «+., ,�N �'yY;2JE: hr. t-Firg- � F k5 �`
. s}r:'i�'• C�'it±1�;.' �t'+� � �� F ...�) w^; ..� ..�. :Y'4:'�. ....ih1,.•+ ..n�t+F.14Hg.:M1.N
11
•
LOWi%
CITY OF COSTA MESA
F /! ! BUILDING DIVISION
P.O. BOX 1200
oar COSTA;MESA, CALIFORNIA 92628-1200
NOTICE OF PERMIT EXPIRATION
•To: Taylor E. Puryear Date: 7/25/95
1194 Boise Way Permit: # P 069037
Costa Mesa, Ca. 92626
Project Address: 11 cue nM aea Way
Costa Mesa, Ca. 92626
Our records show that the listed permit(s) was (were) obtained for property improvement or alteration
at the above address and the project was not properly completed.
The permit(s) was (were) obtained by: t Contractor 0 Owner
Name: Pacific Coast Appliance Address•139 Victoria St.Gardena, Ca.90248
• Phon�:310)324-8476 License Number:362642 Classification: C-10
To construct or install: dishwasher c/o
The permit(s) is (are) valid for 180 days from issuance or your last inspection, per Section 303(d) of
• the 1991 Uniform Building Code. Should we not hear from you within 10 days, your permit will
expire and additional fees will be required to finalize the permit. Your permit(s) will expire(d) on
August 10, 1995
•
Please be on notice that without a valid permit and required inspections completed, you will have
encumbered your property with an illegal structure.
If you need assistance in this matter,please contact Karen Collins ,Permit
• Processing Specialist, at (714) 754-5273 , between 8:00 a.m. and 4:30 p.m.
•
White-Owner,Canary-Building Division d '-"-' (5133-46.WP)
OWNER NORTHGATE PARTNERSHIP DATE SEP 5 1363
JOB ADDRESS 1191+ Bosie Way BUILDING PERMIT NO. 201t97. .-
GENERAL CONTRACTOR Bonser Const. , Inc. VALUE $ 20,283.00
AP No. LOT 28 TRACT 005 FIRE ZONES DESCRIPTION OF WORKRes. & At. Gar.
INSPECTIONS Signature' . DATE GROUP I & ZRPE V ZONE El
Soil SUBCONTRACTOR PERMITS ISSUED
Gas DATE NUMBER
Water
Rough Com. Refrig. 0 Air Cond. 0
Rough Heating I —
Rough Plumbing I -77-n- f- ";,c 25sa-3-9-a-pcr-6-
Miscellaneous 1 Jr At,. I , • #_ .._. , ap C 3
Prop. Swr. Line 0 House Con. .❑ St. Swr. 0
Sprinkling System I
Construction Pole I
Underground 0 Power 0 I
Rough Wiring I
Trenches ❑ Forms ❑ Steel Reinf. .❑
Floor System I
Bond Beam 0 Steel Reinforcel 0
Sheathing I
Frame and Flashing I
Lathing— In❑ Out ❑ I
Plaster, brown coat I
Refrig. ❑ Air Con. 0 Final I
Heating, Final I
Plumbing Fixtures, Final I
Final Gas Test
Electric Fixtures, Final / �� ��
Building, Final �/�/�� f//pp�"� 9 ,(� -
OCCUPANCY (� ��p • P,//��� S� /f
Form BU4--5M�-63--S-B P �
1
20497 `
COSI MESA BUILDING-SAFETY DEPARTMENT 1
F.O.BOX 317 COSTA MESA,CALIFORNIA FEE RE�EIV, �
For Applicant to Fill In Completely APPLICATION FO ERMfT
I TYPE OR PRINT r 3.03 S-a- INA(�QRD 1
• BUILDING /IJ// /� �I J ci r�ff�I� e
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: ADDRESS //`96 /�J QS2�� II y
RECEIPT NO. PERMIT NO.
COSTA MESA, CALIFORNIA ,10 3°97
PIECE 8 Y DATE RECEIVED DATE C. ISSUED
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OWNER JI'QR7f&AAn-PANT ER Sib
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MAILRESS / il i 'C _ _s AO RESS //�d/ �� I / ' ��
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APPROVED v/ / /f� /
BY DATE i �r
OR `A ZONING ADDRESS
A I , ZO^Mp¢ HOOF �J USE OF NEW dry/Ey
L �j TT / PLANS ` I EULLDINO LKTJ�
7 CONTRACTOR/3CCdjj�Acfr /1 Co n .s r/I, `IA? e'J LEGAL I 1 '^ W� Ste". .
'. ADDRESS /3- 3\7 .oj fIO/I �J DESCRIPTION
^'� �� Ti�.�oar
CITY JSOun'TJ#/A' VA4 A.4 Y` (�A ` A.P.NO.
• STATE L, J�L,l TEL. //'`•� / n�J�/ NOTE:
TO SIDE VE REAR OVERHANG SHALL BE LESS THAN
LIC.NO. / 7/ /-3y NO. .5 3/-b / / Y 90"
EAVES
SIZEI I No.OFBLDGS. ALLOWED (U.B.C.REQUIREMENT)
OF LOT now ON LOT
USE OF I YARDS APPROVED YARDS APPROVED
EXISTING BLDG. MAIN BUILDING ACCESSORY BUILDING
i / (FROM CaeS-t-"/ ET)
f( SETBACK LINE 9 )/ FRONT - FT.
CENTER OF STREET S3./ • REAR YARD 1:9
' SIDE YARD I LEFT \ 1 RIGHT
R.SIDE `S FT. FT. ` 1
DESCRIPTION OF WORK L.SIDE/4/.
FFT. FT.
•
2-
NEW ALTERATION ADDITION REAR FT. FT.
DISTANCE BET. ' BET.MAIN a
REPAIR MOVING I - DEMOLISH MAIN BLDGS. ACCESS.ELDGS. NS
�1 - ' VAR.# DATE \
? BUILDING59.4 J/ NO.OF /
SIZE �9-Y rso"ROOMS STORIES C.U.P..}C APPROVED . 'p N
EXTERIOR WALL�.t`LC6 1 INURING -51/21/A916:4 -- .p ®YPROV ED �� DATE /�J \
;, COVERING ✓✓�J
"' USE OF BUILDING AND WORK TO BE PERFORMED
• s/.%Gi e TAM/k y A0WELc/NW
hJ/A 77 f}RA 6 qq� yN
/ (� 1 .4
y Aid rF J i Qi . I'/ r7�S4.FT. �II'� d '/j fa 43d
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I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AM UNT SHOWN UNDER VALLA ION IS FOR THE F
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
N FLY WITH
ALLCONCITY
ORTIO I S ANO\STATE LAWS REGULATING VALUATION
////// / 6 ._
m
� � _ "JOar`�� PERMIT FEE S 5/R- N
• SIGNATURE OF O - U
' PERMITTER !rv�/� Q
I I PLAN CHECK S 3.9• v s 0E
} AUTHORIZED AGENT a
etta TOTAL FEE ' 41 Ed
I
. r-. K 20553 RECEIVED
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COS MESA BUILDING-SAFETY DEPARTMENT FEE I\ECEI Y ED
j.O.BOX 317 COSTA MESA.CALIFORNIA 5161 e 1 1 1963
For Applicant to Fill In Completely APPC(L Bymb1 FFd1EI KMIT
TYPE OR PRINT. _CITY
Q{ficeeUse%OnlyA
BUILDING /� �� �� � •
ADDRESS 1 �> titiy RECEIPT NO, PERMIT NO,
COSTA MESA, CALIFORNIA
/ /90 S-a
A/ `� } )� RECCEIVA8 Y D ¢RE IV gpATE WILED_(/
OWNER/!'ek4LADDRESS 715-7,L(JI` ,/ �L I'-�L+t4a"C6/e !.'7 c // /l Qn/ f �0�
MAIL /•--;l'i_.J Q ADDRESS //9..9 r //TT//••II//i/!
/ FIRE• / tl'-///{{//.���'�/
ice y- I ��� TESZ ZONE TYPE GRO t
CITY(f O f�%L'!/ZQQQ f iY f. <%Cf° NOLs J'��J`.� /I /'
ARCHITECT 4 I APPROVED .^Aa-�, i�I�
OR ENGINEER �1/}' I//CC-jam NO.✓IQ.:'f tC/T BY L/ ///tttii,___DATE //J
�^� ZONING
ADDRESS A/1. J//1I rs Pi/. zonE y. No.oR I USE OR NEW
L I uA /
I///.C` PUNS 7_ BUILDING
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CONTRACTOR /I Oi L:S I..J'` 6.:,h 1. 7,,c._ . ��L �
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ADDRESS /..-7 ( sty %o r: ,L 4 f'F..,,i \S DESCRIrtw . J
CITY n L(.y) 614,I Vi., k:-✓1./C.✓ ' A.P.NO.
J `{ / /rA )) NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
N
LIC. O./1.1 / hi NO: ?) ✓ t'1/r/ 30"TO SIDE 4 REAR P.L.
SIZE .4 JIC/
OF LOT ��4 ! !T NO. T1C.OON / .4EAVESALLOWED (U.B.C.REQUIREMENT)
USE 00 I - YARDS APPROVED YARDS APPROVED
EXISTING BLDG. MAIN BUILDING ACCESSORY BUILDING
(FROM C/LHTREET)
SETBACK LINE FROM '' f
CENTER OF STREET I REAR YARD /a FRONT /.1./ FT. `-��'
• R.SIDE / . -f FT.
SIDE YARDI LEFT .37- y RIGHT /2 Y'• -
DESCRIPTION OF WORK L.SIDE 0FT. . FT.
NEW e/ ALTERATION _ ADDITION REAR ' SlIFT. FT.
DISTANCE BET. BET.MAIN Q '
REPAIR MOVING _DEMOLISH MAIN BLDOB. ACCESS.BLOGB.
VAR.# DATE
BUILDING I NO.OF /i
SIZE """"""������ ROOMS- STORIES S.- C.U.P.#�...�y/�J APPROVE2.---/F--
Dy— /
EXTERIOR IN WALL j�)..{�I� COVVERIN6 ��L��//C„ BYP IX 17'� '&5°7; DATE / /�(O c�
ROOF •
COVERING // LL JJ �� l,/p�{�/�7;
USE OF BUILDING AND WORK TO BE PERFORMED %r/e')�n /// Y / 0 Q
{ . 9 M�
J!mac-i 4 / i.4'I.: Pea 4'7/j✓64-i!
-��' e a
.. 80.FT. I B
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUAT.? IS FOR THE Z
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CI• •-.•INAN ESA"; STATE LAWS REGULATING 1\�}
BUILDING CON VALUATION 47
/i - -�^ m
SIGNATURE • ' /,I I, , .� PERMIT FEE S /V/-
D
PERMITTEE / ' /'' 3 'T G
$ H�
co . PLAN CHECK $ 9'17///` a
AUTHORIZED AGENT I. a TOTAL FEE 5 / /i a
I I